Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.

More about Dr. Ishwar Kumaran

Dr. Ishwar Kumaran is a renowned Dentist in Maruthi Sevanagar, Bangalore. He has helped numerous patients in his 15 years of experience as a Dentist. He has done BDS, c.c.endo.,. He is currently associated with New Dental Hospital in Maruthi Sevanagar, Bangalore. Book an appointment online with Dr. Ishwar Kumaran and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 41 years of experience on Lybrate.com. You can find Dentists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

The type of treatment you have for toothache /sensitivity/swelling will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem.
•If your toothache / sensitivity/swelling is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling.
•If your toothache / sensitivity/swelling is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place.
•If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection.
•If your toothache / sensitivity/swelling can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.

Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need t. Rebagen 10, morning one tab & one at night for 5 days, along with c. Becosules 5 cap, for five days in the morning after meals. You may consult me in person too. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.

1. Leave the habit if you r still continuing 2. For osmf tt depends on the severity of condition.
Injections r given into the bands but frequency of these injections depends on the severity of condition 3. Home physiotherapy can also b practised like making a bunch of ice cream sticks say 5-6 and inserting it into the mouth. Gradually increase the sticks as the mouth opening increases.

Gum diseases can be treated and reversed in their initial stages very easily. By getting the accumulated tartar and plaque removed by a dentist, there is a chance that they can get better without much ado.

Bad breath can be due to accumulation of plaque on teeth, decay in teeth, bad digestion, sour throat, dry mouth, consumption of caffeinated beverages or alcoholic drinks, onions and garlic. So check for the cause. For precautions, go for scaling and polishing. Brush twice daily and use a mouthwash. Also clean your tongue. Increase your intake of water. Limit your food intake to 4-5 times a day. Forcefully gargle with water after you eat or drink anything. Reduce your intake of caffeinated beverages or alcoholic drinks, onions, garlic, oilly n spicy foods especially at night.

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia:&nbsp;if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event:&nbsp;if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Dental cavities, often the result of tooth decay is a natural factor that occurs in all humans. However, depending upon the amount of care that you give to your teeth, dental cavities usually occur at different time periods for different people. For children who eat a lot of sweets, dental cavities are likely to arise at an early age if they do not protect their teeth by brushing them in the morning and at night. Similarly, dental cavities can also arise in young people, and is one of the prime reasons for loss of teeth. In order to understand how to take care of dental activities, it is important to first understand what causes them.

Causes

Bacteria usually lives within a person's mouth. The bacteria are responsible for converting the food in to acids. The food pieces, mixed with the acids, the bacteria and the saliva all combine, resulting in the formation of a sticky substance known as plaque. As a person chews his food, the plaque tends to get stuck to the teeth. Over the passage of time, as the plaque is not removed from the teeth, it turns in to a substance which is known as tartar. The tartar begins to irritate the gums, which results in diseases such as gingivitis or periodontitis.

Tooth decay begins to take place if the plaque is not removed from the teeth. For an average person, plaque begins to set in 20 minutes after eating, ultimately damaging the enamel on your teeth, and creating holes in your teeth, which in dental terminology, are regarded as dental cavities. Caring for dental cavities is not an overnight procedure; a person needs to be consistent in cleaning their teeth. However, once dental cavities, or the holes, have been formed in a person's teeth, they can only be rectified by a professional dentist.

Treatment

Filling is one of the most common treatments chosen by individuals who have dental cavities. Dentists usually fill the teeth by first removing the decayed material with the help of a drill, and then use another material, often being porcelain or composite resin, in order to fill it up. In some instances, gold, silver and platinum are also used. For frontal teeth, porcelain and composite resin are usually preferred, as they both match the appearance of natural teeth in a person.

The second method is 'crowning. If the tooth structure is significantly limited and the dental cavities are extensive, this might be the preferred option. The first step is the removal of the decayed or damaged area. Once the damaged part has been removed, a crown is placed over the top of the tooth, hence covering the area. Often times, the crown is made out of metal or composite resin or porcelain, and is affixed with a metallic structure.

Dear, you said you are yellow teeth as you chew tobacco please stop chewing tobacco. Brush twice a day have clean teeth and good oral hygiene with this you need to keep check on your digestion also. Please visit dental surgeon for checkup. Keep yourself well hydrated and use hydrogen per oxide for gargles and take tab b complex one in a day for a week. Treatment to keep mouth healthy and free from smell is cleaning and polishing of teeth and maintenance of oral hygiene. Use colgate total paste and listerin mouthwash twice a day. Do rinse your mouth with listerine mouth wash.

It is quit normal to salivate excessively. Kindly consult a dentist in person for further suggestion. We need more investigations (full mouth x-ray) to decide upon treatment. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.

Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need filling or root canal treatment along with surgical procedures. You may consult me too.